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General NPI Number Information
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NPI Number | 1275974586
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Entity Type | Organization
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Legal Business Name | JAMESCHAIRS
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Dates
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Enumeration Date | 07/15/2013
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 200 S 24TH ST
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City | ROGERS
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State | AR
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Zip | 72758-1129
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Country | US
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Telephone | 479-439-2615
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 335
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City | GARFIELD
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State | AR
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Zip | 72732-0335
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ATP
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Name | JAMES CROW
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Credential |
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Telephone | 479-439-2615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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